10D2181784 CLIA NUMBER - PHYSICIANS OF HOLLYWOOD, LLC

Laboratory Demographics

  • CLIA Code: 10D2181784
  • Facility Name: PHYSICIANS OF HOLLYWOOD, LLC
  • Facility Address: 5201 HOLLYWOOD BLVD
    HOLLYWOOD, FL
    ZIP 33021
  • Facility Phone: 954 228-6619
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ILEANA A. VILA
  • NPI Number: 1790178697
  • Taxonomy: 2083P0901X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2181784
LAB Type Physician Office
Facility Name PHYSICIANS OF HOLLYWOOD, LLC
Street 5201 HOLLYWOOD BLVD
City HOLLYWOOD
State FL
ZIP 33021
Phone 954 228-6619
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director ILEANA A. VILA

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This page was last updated on: 9/29/2025